Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Cleanslate Medical Group of Arizona PLLC

Organization Addiction Medicine (Internal Medicine) Physician · NPI 1326585662

Cleanslate Medical Group of Arizona PLLC is an Addiction Medicine (Internal Medicine) Physician in Phoenix, Arizona. Registered with an NPI since 2017.

In the registry since
2017
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

8410 W Thomas
Phoenix, AZ 85037
Phone: (413) 584-2173
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction Medicine (Internal Medicine) Physician (primary) Taxonomy 207RA0401X

Record details

NPI number1326585662
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Hutchison — Cfo · (615) 425-0220
NPI enumeratedJanuary 25, 2017
Last updated in NPPESJuly 2, 2019
Mailing address15 Century Blvd Ste 307, Nashville, TN 37214-3692

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